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711 <br />RI. <br />T <br />2 <br />P1 >,j <br />'INANCING STATEMENT I I <br />INSTRUCTIONS <br />nn <br />ri= <br />& PHONE OF CONTACT AT FILER (optional) <br />1-800-858-5294 <br />IL CONTACT AT FILER (optional) <br />RFiling@cscglobal.com <br />ACKNOWLEDGMENT TO: (game and Address) <br />3 78411 /�t vvu <br />CSC a) eeI (P f <br />ee4-Adtaictevansan lam <br />Springfield, IL 62701S -240i <br />L <br />Filed In: Nebraska <br />(Hall) <br />--) <br />CD <br />t_, <br />(0 <br />N <br />V-) <br />—f <br />rn <br />C) Z <br />iLtibp4 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS NAME: Provide only one Debtor name (la or 1b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />name will not fit in line 1 b, leave all of item 1 blank, check here and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Fom, UCC1Ad) <br />OR <br />la. ORGANIZATION'S NAME <br />lb. INDIVIDUALS SURNAME <br />PANOWICZ <br />FIRST PERSONAL NAME <br />ROBERT <br />ADDITIONAL NAME(S)/INITIAL(S) <br />M <br />SUFFIX <br />lc. MAILING ADDRESS 10288 W WHITE CLOUD RD <br />CITY <br />CAIRO <br />STATE <br />NE <br />POSTAL CODE <br />68824 <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME: Provide only s e, Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />?lame will not fit in line 2b, leave all of item 2 blank, check here p and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />2a. ORGANIZATION'S NAME <br />UK <br />2b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />2c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) <br />OR <br />3a ORGANIZATION'S NAME DIVERSIFIED FINANCIAL SERVICES, LLC <br />3b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />3c. MAILING ADDRESS 14010 FNB PARKWAY STE 400 <br />CITY <br />OMAHA <br />STATE <br />NE <br />POSTAL CODE <br />68154 <br />COUNTRY <br />USA <br />4 icgtemiumtsmotracifols. <br />ar§!LI OWER 1765' <br />5. Check only if applicable and check only one box: Collateral is El held in a Trust (see UCC1Ad, item 17 and Instructions) being administered by a Decedent's Personal Representative <br />6a. Check only if applicable and check gay one box: 6b. Check (ay if applicable and check fay one box: <br />❑ Public -Finance Transaction ❑ Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility ❑ Agricultural Lien 0 Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): Lessee/Lessor ❑ Consignee/Consignor <br />8. OPTIONAL FILER REFERENCE DATA: ::0091304-002 STOLTENBERG <br />0 Seller/Buyer <br />❑ Bailee/Bailor Licensee/Licensor <br />2233 78411 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />